Manager, Patient Safety and Regulatory (Full-Time)

St. Joseph's Health•Paterson, NJ

27d•$46 - $72•Onsite

About The Position

The Manager, Patient Safety & Regulatory is responsible for the operational management and coordination of the organization's Patient Safety and Regulatory Compliance programs. Reporting to the Director of Quality & Patient Safety, this position leads day-to-day patient safety activities, regulatory readiness (e.g., DNV), accreditation support, event reporting (e.g., Midas, NJ DOH PSRS), and performance monitoring to promote a culture of safety and continuous regulatory compliance. The Manager partners with physicians, nursing leadership, department managers, and interdisciplinary teams to investigate patient safety events, identify opportunities for improvement, implement corrective actions, and ensure ongoing compliance with regulatory and accreditation standards. This role serves as an organizational resource for patient safety, High Reliability Organization (HRO) principles, Just Culture, and regulatory preparedness while supporting the organization's mission, vision, values, and strategic priorities.

Requirements

Bachelor of Science in Nursing (BSN) or Bachelor's degree in a healthcare-related field.
Current New Jersey Registered Nurse (RN) license.
Minimum three (3) years of clinical healthcare experience.
Experience with patient safety event investigations, root cause analysis, and/or regulatory compliance.
Strong organizational, analytical, project management, and communication skills.
Proficiency with Microsoft Office applications and healthcare data reporting systems.

Nice To Haves

Master's degree in Nursing, Healthcare Administration, Public Health, or a related field.
Certified Professional in Patient Safety (CPPS), Certified Professional in Healthcare Quality (CPHQ), or other applicable certification.
Experience with DNV accreditation, CMS Conditions of Participation, New Jersey Department of Health regulations, Leapfrog Hospital Survey, MIDAS event reporting, and Patient Safety Indicators (PSIs).
Knowledge of High Reliability Organization (HRO) principles, Just Culture, Human Factors, and performance.

Responsibilities

Operational management and coordination of the organization's Patient Safety and Regulatory Compliance programs.
Lead day-to-day patient safety activities.
Manage regulatory readiness (e.g., DNV).
Provide accreditation support.
Oversee event reporting (e.g., Midas, NJ DOH PSRS).
Monitor performance to promote a culture of safety and continuous regulatory compliance.
Partner with physicians, nursing leadership, department managers, and interdisciplinary teams to investigate patient safety events.
Identify opportunities for improvement.
Implement corrective actions.
Ensure ongoing compliance with regulatory and accreditation standards.
Serve as an organizational resource for patient safety, High Reliability Organization (HRO) principles, Just Culture, and regulatory preparedness.
Support the organization's mission, vision, values, and strategic priorities.